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SALEENG-01 MMAZZA <br />ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br />12/01 /2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # OE02096 CRAJACT <br />DiBuduo & DeFendis Insurance Brokers, LLCPnhlC%'Ext: (559) 432-0222 a/c,No:(559) 431-7941 <br />P.O. Box 5479 <br />Fresno, CA 93755-5479 -M 1 <br />INSURED <br />Salem Engineering Group, Inc. <br />4729 W. Jacquelyn Ave. <br />Fresno, CA 93722 <br />INSURER F: <br />Rf1VFRA(:FR CFRTIFICOTF NIIMRFR• RFVIRIAN N1IMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />WVDDDIYYYYI <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000 <br />CLAIMS -MADE [X] OCCUR <br />X <br />6015893246 <br />12/01/2017 <br />1210112018 <br />DAMAGE TO RENTED 300,000 <br />MIS <br />PREES(E'occurrence) $ <br />MED EXP (Any oneperson) 15,000 <br />PERSONAL & ADV INJURY 2,000'000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRCOT- LOC <br />GENERAL AGGREGATE 4,000,000 <br />PRODUCTS - COMP/OP AGG 4,000,000 <br />OTHER: <br />B <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT 1,000,000 <br />F <br />BODILY INJURY Perperson) $ <br />X ANY AUTO <br />6045473729 <br />12/01/2017 <br />12101/2018 <br />BODILY INJURY Per accident <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />PPeOr acEclAent AMAGE $ <br />AUTOS ONLY AUOTNOS ONL� <br />B <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />6015893232 <br />1210112017 <br />1210112018 <br />DED I X I RETENTION $ 10,000 <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ <br />�AFandER/M In NH) EXCLUDED? <br />N / A <br />6020581635 <br />12/01/2017 1210112018 <br />X I PER OTH- <br />E.L. EACH ACCIDENT 11000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1'000,000 <br />H es, describe under <br />DESCRIPTION OF OPERATIONS below <br />1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />D <br />Prof./Pollution Liab <br />AEH591895527 <br />1210112017 12/0112018 <br />Each Claim 2,000,000 <br />D <br />Prof./Pollution Liab <br />AEH591895527 <br />12/01/2017 12/01/2018 <br />Aggregate 4,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Certificate Holder is named Additional Insured including Completed Operations andPrimaryNon-Contributory Wording) as respects General Liability per <br />attached blanket policy form CNA75079XX (1-15). <br />Professional/Pollution Liability deductible per claim - $35,000 <br />Actual Certificate to be issued upon request <br />t_AN(.tLLA I IVIV <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />SAMPLE CERTIFICATE " THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />A4. <br />ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />